RENTON VA CLINIC (3984)    INSTITUTION (4)

Name Value
NAME RENTON VA CLINIC
STATE WASHINGTON
STREET ADDR. 1 419 S 2ND ST STE 2
CITY RENTON
ZIP 98057-2234
OFFICIAL VA NAME RENTON VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME RENTON VA CLINIC
EFFECTIVE DATE/TIME
  • 2020-09-30 00:00:00
    STATUS:   ACTIVE
    NPI:   1609441286
TAXONOMY CODE
LOCATION TIMEZONE PACIFIC
COUNTRY USA
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 663QA